MEDICARE: DR. JUAN RAMON SILVA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	8101	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8101	OTHER	PR	DOCTOR IN MEDICINE

General Provider Information

NPI Number	:	1215933734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN RAMON SILVA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1320
Second Line	:
City	:	AIBONITO
State	:	PR
Zip	:	00705-1320
Country	:	US
Telephone Number	:	787-735-0099
Fax Number	:

Provider Business Practice Location Address
First Line	:	BO. LLANOS KM.0.4 CARRETERA725
Second Line	:
City	:	AIBONITO
State	:	PR
Zip	:	00705
Country	:	US
Telephone Number	:	787-735-0079
Fax Number	:	787-735-0079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/08/2007

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